Individual
CARLY ALLEN-TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 415-4062
Mailing address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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